1.Easy
Which site is usually recommended for intramuscular vaccines in infants?
- AThe deltoid muscle in all ages
- BThe muscles of the forearm
- CThe dorsogluteal muscle of the buttock
- DThe vastus lateralis muscle of the anterolateral thigh
2.Easy
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
- AA conjugate polysaccharide vaccine
- BAn mRNA vaccine
- CAn inactivated toxoid vaccine
- DA live attenuated vaccine
3.Easy
Which vaccine has made acute epiglottitis much less common in children?
- AHaemophilus influenzae type b (Hib) vaccine
- BPneumococcal conjugate vaccine
- CRotavirus vaccine given by mouth
- DMeasles–mumps–rubella (MMR) vaccine
4.Medium
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
- AAbout 5 mL per hour
- BAbout 2 mL per hour
- CAny amount, as long as the child is drinking
- DAbout 20 mL per hour
5.Medium
Which drink is best for a child with mild dehydration from gastroenteritis?
- ACola or other fizzy drinks
- BOral rehydration solution
- CUndiluted apple juice
- DSports drinks
6.Medium
Which child should generally not receive a live vaccine such as MMR?
- AA child with severe immune suppression, for example during chemotherapy
- BA child who is currently taking oral antibiotics for an uncomplicated ear infection
- CA child whose sibling has a cold
- DA child with a mild cold
7.Hard
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
- AProtest
- BDespair
- CNormal adjustment with no distress
- DDetachment
8.Hard
A child develops the "slapped cheek" rash of fifth disease. The parent asks whether the child is still infectious. What is the best answer?
- AUsually not; the child was most infectious before the rash appeared
- BYes, until every trace of the rash has faded from the cheeks and limbs
- CThe illness is not infectious at any stage
- DYes, for 6 weeks after the rash appears
Answer key
- 1. D · The vastus lateralis muscle of the anterolateral thigh
- 2. D · A live attenuated vaccine
- 3. A · Haemophilus influenzae type b (Hib) vaccine
- 4. D · About 20 mL per hour
- 5. B · Oral rehydration solution
- 6. A · A child with severe immune suppression, for example during chemotherapy
- 7. D · Detachment
- 8. A · Usually not; the child was most infectious before the rash appeared
Full step-by-step solutions: practise this topic on examproblems.com.